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04-8053 (SFD)Todf 4 4 a" BUILDING & SAFETY DEPARTMENT 3ox 150.4 (760).777-7012 5 CALLE TAMPICO FAX (760) 777-7011 JINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 r . . . Property Address . . . . APN: Application description Property Zoning . . . . . Application valuation . . BUILDING PERMIT Owner --------------------------------- ND LA QUINTA PARTNERS 375 N FRONT ST STE 200 COLUMBUS, OH 43215 x_04-00008053 Date 1/11/05 52265 VIA CASTILE 772-410-998-11 -32453 - DWELLING'- SINGLE FAMILY DETACHED LOW DENSITY RESIDENTIAL 221781 Contractor A & M CONSTRUCTION P.O. BOX 366 LA QUINTA, CA 92253 (760) 564-4832 WCC: STATE FUND WC: 0009232-2005 01/01/06 CSLB: 746198 02/28/06 CCC: B -C10 P.O. BOX 1504 VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: ori - gy45_=_� Date: 3 • � � • D �- Applicant: Architect or Engineer: �14fLD Applicant's Mailing Address: chitect or Engineer's Addres : No.: bl LP BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am li nsed under provisions of Chapter 9 (commencing with Section 7000) of Division.3 of the Business and Professionals f ode, and my LicegS� is iryfull force and effect. I t e /License Class (f)" l (O -t � nse No. �te 11-05 ontr� actor OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): U I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that the improvements are not intended or offered for sale. If,.however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). U I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' 'State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to V* Contractors' State License Law.). U t am exempt under Sec. , B.8 P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance _k�Of the work for which this permit is issued. ha and will maintain workers' compensation in urance, as required by Section 3700 of the Labor Code, for the -performance of the work for which this permit is ued. SAY wory�rs' co�mper�sation ins a varier and poli number are: Cartier CJ�`-Z -fir .1/rl icy Number _ ! -z �'Z��j 15 _ 1 certify that, in th600erformance of work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' - compensation laws of California, d agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those provi ons. /Date __� — ( ( ---f9 J WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name Lender's Address APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall, defend, indemnify and hold harmless the City of La Ouinta, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancel tion. I certify that I have read this application and state that the above info 'on is correct I agree to comply with all city and county ordinances and stale laws relating to building constnrction, and hereby au=ignature ntatives of this county to r upon the above-mentioned. property for inspection purposes. /1 fee_ �( ��plicant or Agent): -� Unit Charge Per 20.00 - - - - - - - - - - - - - - - - - - - - - - - - - - Application.Number . ---------------------------------------------------------------------------- - - - - - - - - - --- - - - - - - - - - - - - - - - - - - - - - - - - - - . . . . 04-00008053 - - - - - - - - - - - - - -------------------------- EA Structure Information ------------------------- 7.5000 Construction Type . . . . . TYPE V - NON RATED 3.0000 Occupancy Type . . . . . . DWELLG/LODGING/LONG <=10 EA Flood Zone NON -AO FLOOD ZONE Other struct info . . . . . CODE EDITION 2001 CBC # BEDROOMS 4.00 FIRE SPRINKLERS. NO GARAGE SQ FTG 646.00 PATIO SQ FTG 254.00 NUMBER OF UNITS 1.00 ---------------------------------------------------------------------------- 1ST FLOOR SQUARE FOOTAGE 2703.00 Permit . . . . . . BUILDING PERMIT Additional desc Permit Fee . . . . 1066.50 Plan Check 'Fee 173.31 Issue Date . . . . Valuation . . . . 221781 Qty Unit Charge Per Extension BASE FEE 639.50 122.00 ---------------------------------------------------------------------------- 3.5000 THOU BLDG 100,001-500,000 427.00 Permit . . . . . . MECHANICAL Additional desc E Permit -Fee . . . . 83.50 Plan Check Fee 5.22 Issue Date . . . Valuation 0 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 9.0000 EA MECH FURNACE <=100K 18.00 2.00 9.0000 EA MECH B/C <=3HP/100K BTU 18.00 4.00 6.5000 EA MECH VENT FAN 26.00 1.00 --------------------- 6.5000 -.------------------------------------------------------ EA MECH EXHAUST HOOD 6.50 Permit . . . . . . ELEC-NEW RESIDENTIAL Additional desc . . Permit Fee . . . . 109.61 Plan Check Fee 6.85 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 2703.00 .0350 ELEC NEW RES - 1 OR 2 FkMMILY 94.61 .00 ---------------------------------------------------------------------------- .0200 ELEC GARAGE OR NON-RESIDENTIAL .00 Permit . . . . . . PLUMBING Additional desc . . Permit Fee . . . . 190.50 Issue Date . . . . Qty Unit Charge Per 20.00 6.0000 EA 1.00 15.0000 EA 1.00 7.5000 EA 1.00 3.0000 EA 1._00 9.0000 EA Plan Check Fee . . 11.91 Valuation . . . . 0 BASE FEE PLB FIXTURE PLB BUILDING SEWER PLB WATER HEATER/VENT PLB WATER INST/ALT/REP PLB LAWN SPRINKLER SYSTEM Extension 15.00 120.00 15.00 7.50 3.00 9.00 ----------------------------------------------------------------------------- Application Number . . . . . 04-00008053 ---------------------------------------------------------------------------- Permit . . . ... PLUMBING Qty Unit Charge Per Extension 8.00 .7500 EA PLB GAS PIPE >=5 6.00 1.00 15.0000 ---------------------------------------------------------------------------- EA PLB GAS METER 15.00 Permit . . . . . . GRADING PERMIT Additional desc . . Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date . . . . Valuation 0 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES 86.10 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 17.33 DIF FIRE PROTECTION=RES 97.00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES 225.00 DIF PARK MAINT FAC - RES 5.00 DIF PARKS/REC - RES 502.00 STRONG MOTION (SMI) - RES 23.44 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged ----------------- Paid Credite3 Due ---------- Permit Fee Total 1465.11 ------------------------------ .00 .00 1465.11 Plan Check Total 197.29 .00 .00 197.29 Other Fee Total 2531.87 .00 .00 2531.87 Grand Total 4194.27 .00 .00 4194.27 LO _ Certificate of Insulation w IL Your home has been insulted with John Manville FiInsulation products, which are designed for today's safety standards and tomorrows energy requirements. Fiberglass is inorganic and therefore permanendy nonoombusfible, so it does not have to be treated with fire -retardant chemicals that will likely lose their effectiveness over time. it has not been treated with chemicals that can corrode wiring or metal. Fiberglass will not absorb moisture nor will it settle over time as may oVw insulation materials. This also certifies that insulation have been professlonaJfy inetalled in thlo home to -provide the U) fallowing thermal performance. H ~ .Job No A a 10 Construction Traci ptarrd 2A phase: 1 Q Lot No: 11 .lab Addrees: SFR - 52.265 Via C=U1% La Quihrta, CA _o Ceidng Area: R -W Batt Insulation Gan w ceiling: - = Non,Ar�ceas: With Living Above A Sloping Arses Extedor Want R-19 tett ins0ation :'.,-.Overhangs: Access Attic. With Living Above Between Fkma: hft dor Wats: A Subcontractor ...0 J lnsulabor, Inc. 72-227 Adetaid St, Thousand Palms, CA 92276 Signed: '00% Mike Dickerson, General Manager - Palm Springs Division R -means resistance to heat flow. The higher the R -value, the greater the insulating power. Ask your builder for the fact sheet on R -values. Keep this certificate with your other -valued papers. If you ever sell this home, this certificate should be passed on to the buyer. ;I;';„ MAR -27-2006 06:39 AM 4 `-i t P. 01r CERTIFICATE OF FIELD VERIFICATION' AND IA . `' I C1P'-4R ' ProjectT �e Dora i.wl ; :,k , ; ProJbct Address'/yt�x�r�i vt I fk�l�.:� ,',di1_ }i{i 1,". , 1 ;jIi,' ,- '�;lrt1f�'�; �r+'t+r,l. 'I 1. .i 1�T'r " �i. �sSQCieT�`,_,��i Jr✓ �.^Terirl}e�' �,; ei`n:o�C,l � I'�II BudeG m�s 1. „Yh q440r+Builder Contact, 1TNoio'Number :14 HERS Rater i Sample Group NNumber, 8Signaturo Sample House Number Finn HERS Provider' ces:Street Ad cty/State/Zlp: L4 Copies to:-, Builder, HERS Provider I trill 1 .' SIMEMENT 1i ill lf� The house was: I Tested ❑ Approved as part bt<.Semple testing, but was not tested ,:1i! i;l I;,4 { i Aa the HERS rater providingdiagnostic testing and fleld'v flcatlon, I eertlfy that the houses Identified on this form i {� 1'1'1 ' , com with the diagnostic sted compilance requiremo "Chocked on thie,form. 4' :+ ' Distribution system Is fully ducted (i.e., dosis riot �'e}uikling cavities as plenums or.pattorm returns in lieu . •r. ducts ' 1 .0 x1.(71 i{0, II 1 � Where doth backed rubber adhesive duct'te' `'(` ' }' ( i ' ,. y ape i I ,mastic and drawbanda are used In combination (� with cloth backed, rubber adhesive duct tape tb `" ` "° '' i ,• :` ' al s at duct connections. , 1 "1 r � � ,:` i'��et 1 li �•i N iN� �' ,II UIr :' I s ,I�i INIMUM REQUIREMENT8 FOR DUCT LEAKAQ CTION COMPLIANCE CREDIT;'r '� u ij!� fll i . �y 1 Duct Dla nostic Leaks j e, Tostln Results M i� ; i 'I ti., } I I �`� II I {I "' F• ' �' I ,i,"o g 0 !: (axtrr>ti,'Aact Leekitie) i 1i rf I, I ,,, I . i, • ,,i a 11. I ; I Measured Duct Pressurization Teat Results (CFM 26 f'a)�� Ji 'j I ► ' " t ;`' � 1 .�•M I• I I I t/'�� lI•�I•1� � ,} � r, t Tort L a Flow4nCFM r, M —LO If fan flow Is calculated as 400cfm/ton ii;" urnber of tons enter h:f5iGltleed value here ," GD • ? 1 j t + ; ,} 1 > If fan flow Is measured enter' '1,10esured value here 'p��:I� r! ;'l' i• Leakage Percentage(10x ,1e 'e/t=an Flow do 1 4 .Test' aQ ) 0 5 o s i ;; • I I I Check Box for Pass or FII (Pasa�96 or as " •, ;"'t , v .zll Fail THERMOSTATIC EXPANSION VALVE ` s l f 1 (TXV) 4r C iseion approved equivalent 1 y �tl gc I t t Ih�•t 1. r ; "' Yba' t' d No Thermostatic Expansion, Valve'ior.0 illission eppioved �; I ' f equivalent) is installed end Accpse I pr `ilded for InspectionIJ2r Is a pass I I Paas Fail ' lit MINIMUM REQUIREMENTS FOR DUCT DESIQN P.IANCE Ckkwr + a Yea. I (O'No ; ACCA Manual D tae" "' 4r . r ots have'bee fr�etl rt, (rater has verified `th>�t a�tuat; �Ilatlon meto'hesfuss CF -1R and deslgn466 plant}}7}�1 ' 1 ,' , ,r 1`� 2. ❑ YIr. ~ ea C-3, ,iNo TXV oITXV isntalled o i•l F°la�in fl�.i -iS - fled, �e1dI� . n{,o T�IV}i j • ,I}l CIYi ; verified fan flow matches.fi h,CF IsvarIi 3;1. ?' j ;'. Measured Fan Flow_ l,;t t' ifiy> r + i "� •I' � � i , ,. 1."yli ]�. �'Ie>S for both 1 and 21i a Prise + Pass } Fail P t ` lit" t +yjl Permit I - 1P ' ^ POST ON JO UOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOBkDDRE- S-265 VIA CASTILE S "lligffibAN 2A. PERNUT DOES NOT IN , SPA, BLOCK WALLS OR DRIVEWAY APPROACH TYPE OF INSPECTION DATE INSP. TEMPORARY POWER SFTRACKS 7. U/G PLUMBING / WASTE - 2 U/G ELECTRICAL / GROUNDING $ FOOTINGS / STEEL CONCRETE SLAB DO NOT POUR CONCRETE UNTIL ABOVE SIGNED ROOF NAIL / PRE -ROOF '- 3 OKAY TO WRAP FRAMING COMBINATION ROUGH ELECTRIC ROUGH PLUMBING ROUGH MECHANICAL7- INSULATION_ �'/- WORK UNTIL ABOVE SEPTIC ABANDONMENT SEWER CONNECTION SEPTIC / GREASE INTERCEPTOR MASONRY INSPECTIONS FOOTINGS / STEEL BOND BEAM POOL / SPA / WATER FEATURE INSPECTIONS PRE-GUNITE / SETBACKS U/G PLUMBING U/G GAS U/G ELECTRICAL PRE -PLASTER (ALARMS/ BARRIERS FINAL INSPECTIONS TEMP. USE OF PERMANENT POWER 1 --2 NG PUBLIC WORKS DEPARTMENT 3 COMMUNITY DEVELOPMENT DEPT. 3 3 �a FINAL / JOB COMPLETED -- -' -/14 ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING 2 ' CITY Of LA QUINTA �F^�oFadE° BUILDING & SAFETY DEPARTMENT 777-7012 / FINE 7 153 Owner QUINTA TNERS, LLC A'&"Vu4dRftRWriON Permit I - 1P ' ^ POST ON JO UOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOBkDDRE- S-265 VIA CASTILE S "lligffibAN 2A. PERNUT DOES NOT IN , SPA, BLOCK WALLS OR DRIVEWAY APPROACH TYPE OF INSPECTION DATE INSP. TEMPORARY POWER SFTRACKS 7. U/G PLUMBING / WASTE - 2 U/G ELECTRICAL / GROUNDING $ FOOTINGS / STEEL CONCRETE SLAB DO NOT POUR CONCRETE UNTIL ABOVE SIGNED ROOF NAIL / PRE -ROOF '- 3 OKAY TO WRAP FRAMING COMBINATION ROUGH ELECTRIC ROUGH PLUMBING ROUGH MECHANICAL7- INSULATION_ �'/- WORK UNTIL ABOVE SEPTIC ABANDONMENT SEWER CONNECTION SEPTIC / GREASE INTERCEPTOR MASONRY INSPECTIONS FOOTINGS / STEEL BOND BEAM POOL / SPA / WATER FEATURE INSPECTIONS PRE-GUNITE / SETBACKS U/G PLUMBING U/G GAS U/G ELECTRICAL PRE -PLASTER (ALARMS/ BARRIERS FINAL INSPECTIONS TEMP. USE OF PERMANENT POWER 1 --2 NG PUBLIC WORKS DEPARTMENT 3 COMMUNITY DEVELOPMENT DEPT. 3 3 �a FINAL / JOB COMPLETED -- -' -/14 ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING Certificate of Occupancy Ti�uf 4 4aumrw Building & Safety Department This Certificate is issued pursuant to the requirements of Section 109 of the California Building Code, certifying that, at the time of issuance, this structure was in compliance with the provisions of the Building Code and the various ordinances of the City regulating building construction and/or use. BUILDING ADDRESS: 52-265 VIA CASTILE Use classification: SINGLE FAMILY DWELLING Occupancy Group: R3 Owner of Building: ND LA QUINTA PARTNERS --1- -"4, Building Official Type of Construction: VN POST IN A CONSPICUOUS PLACE Building Permit No.: 04-8053 Land Use Zone: RL Address: 375 FRONT ST. STE. 200 City, ST, ZIP: COLUMBUS, OH. 43215 By: STEVE WILLETT Date: MARCH 29, 2006